Black River Birth Services, LLC

NPI #1962109090 in Croswell, Michigan

Provider Information

NPI Number: 1962109090
Entity Type: Organization
Organization Name: Black River Birth Services, LLC
Primary Specialty: Doula
Enumeration Date: Feb 9, 2023
Last Updated: Feb 9, 2023

Practice Location

Address: 4856 WAGNER RD
City: Croswell
State: Michigan
ZIP Code: 48422-9421
Phone: (810) 712-1310

Authorized Official

Name: TIFFANY KAHOFER
Title: OWNER
Phone: (810) 712-1310

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Doula	374J00000X	Primary

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